Individual
DR. LARRY LORENZO MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
540 W 15TH ST, HEREFORD, TX 79045-2820
(806) 364-7512
(806) 364-5256
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7042
(615) 628-6877
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD057040L
PA
207VC0300X
Complex Family Planning Physician
S8207
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
418792401
—
TX
Enumeration date
08/01/2006
Last updated
05/29/2025
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